NPIMap

Individual provider Active NPI

Gregory Retson, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1922402452
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001005122 Issued in NC
Practice address
601 Oberlin Rd
Raleigh, NC 27605-1126
Phone
(919) 789-4322
Fax
(919) 789-4533
NPI assigned
Oct 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001005122 NC Primary

Addresses

Primary practice location

601 Oberlin Rd
Raleigh, NC 27605-1126

Mailing address

PO Box 603949
Charlotte, NC 28260-3949
Phone (919) 350-8991

Other practice location 1

110 Kildaire Park Dr
Cary, NC 27518-8162
Phone (919) 859-1136

Other practice location 2

2930 Forestville Rd
Raleigh, NC 27616-8774
Phone (919) 235-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gretson106837@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000337 NC Practitioner - Physician Assistant 3173845732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLC 868 clinicians

Practice addresses (Care Compare)

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

811 US 70 Hwy W
Garner, NC 27529-2541
Phone (919) 235-6565

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001005122NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Dec 12, 2022 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Dec 12, 2022 Accepting new patients
Wake Internal Medicine Consultants, Inc. Past Accepting new patients
Unc Physicians Network LLC Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

2930 Forestville Rd
Raleigh, NC 27616
Phone (919) 235-6500

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

601 Oberlin Rd
Raleigh, NC 27605
Phone (919) 235-6566

Interoperability endpoints

  • Direct secure messaging: gretson106837@direct.unc.nchie.net
  • Direct secure messaging: gretson436097@directhisp.wakemed.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1922402452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603949",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603949",
            "telephone_number": "919-350-8991",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051126",
            "telephone_number": "919-789-4322",
            "fax_number": "919-789-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Kildaire Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188162",
            "country_code": "US",
            "telephone_number": "919-859-1136",
            "fax_number": "919-859-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 Forestville Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276168774",
            "country_code": "US",
            "telephone_number": "919-235-6500",
            "fax_number": "919-235-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETSON",
        "first_name": "GREGORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001005122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gretson106837@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "6602 Knightdale Blvd",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.